Marciano, Mark J

Marciano, Mark J is an individual health care provider with primary practice located at 703 Blakely Court , Palm Beach Gardens FL 33410. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Marciano, Mark J can be contacted via phone (772) 419-3900.

Contact Information

Primary practice address
703 Blakely Court Palm Beach Gardens FL 33410
Phone: (772) 419-3900
Fax: (772) 781-2782
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X ME57306 Florida

Profile Details

NPI number 1427070952
LBN Legal business name Marciano, Mark J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 24th, 2006
Last updated Feb 18th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1427070952 NPPES
Florida MEDICAID 063463800

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